Billing - Baystate Health

Req#: R18086
Category(s): Finance, Billing
Full Time / Part Time: Part-Time
Shift: First

Denials and Appeals Coordinator- Case Management Dept.

Part Time Monday – Friday 6:30 AM-11:30 AM

NO weekends/ NO holidays

This position is responsible for providing administrative support to the Hospital Case Management Program, with the primary responsibility being to facilitate the coordination of the denial and appeal process.

  • Maintaining an accurate database on the denied and appealed cases.
  • Preparing reports under the direction of the Manager for HCM.
  • Identifying and obtaining supporting documentation and other applicable information necessary for appeals.
  •  Interacting extensively with Case Manager and Physicians of service areas and other front end personnel, regarding appeals and denials.
  • Preparing Xsolis reports on denial/appeal process and report to Manager of Case Management.
  • Work is planned and assigned by supervisor and is reviewed for accuracy, completeness and quantity.
  •  Provides staff support services for the Manager of Case Management.
  • Prioritizes workload and makes assessments as to the efficiency of the process and makes changes as needed and directed.
  •  Maintains knowledge of the process required for timely, efficient management of denied cases.

Experience: 

  • 2-3 yrs experience in healthcare office environment
  • Experience in billing, coding insurance preferred
  • Microsoft Word, Excel, basic accounting practices, medical terminology
  • Must be organized, conscientious and good have strong attention to detail Hospital experience and utilization of hospital software programs

You Belong At Baystate

At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.

DIVERSE TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS.

Education:

GED or HiSET (Required)

Certifications:

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

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